NPI | 1508908781 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 44405) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 44405) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2022-06-29 |